ATTACHMENT D.1 PRICE SCHEDULE 36C24923R0026 Home Oxygen TVHS Mt Home Memphis VAs R1.xlsx

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Q999--Home Oxygen Services - Tennessee Valley Healthcare System, James H. Quillen & Memphis VA Medical Centers
Solicitation number
36C24923R0026
Issued by

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Items

Item NumberSLINDescriptionRef CLINCommentInclude Comments in DocumentContract PeriodPop BeginPop EndQuantityUnit of MeasurePackaging MultipleReceipt TypeLine Item IsUnit PriceItem Discount Type NameItem DiscountDate UpdatedAddress1Address2Address3CityStateZipZip4CountryMark ForContact NameContact PhoneContact EmailDelivery DateFOBSpecial InstructionsInclude Instructions/Comments in DocumentPRINCIPAL NAICS CODEPRODUCT/SERVICE CODEUNSPSCSIC CODEMANUFACTURER PART NUMBER (MPN)NATIONAL STOCK NUMBERLOCAL STOCK NUMBERDM DOC IDDELIVERY REF. COUNTERUNIT TEXT/DESCRIPTIONDELIVERY REFERENCEITEM MASTER FILE NUMBEREXPENDABLE/NON-EXPENDABLEQUANTITY REQUESTEDUNIT OF PURCHASE CODEUNIT OF PURCHASE TEXT/DESC.
0001Oxygen concentrator five (5) liter, stationary, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240MO0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
0002Rental of portable "E" system and/or M-6 system, portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240MO0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
0003Rental of oxygen conserving device: including demand valve, portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240MO0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
0004Rental of liquid oxygen system, stationary and portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240MO0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
0005Liquid oxygen system refills, pound (lb.), per pound as needed for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240LB0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
0006Rental of liquid oxygen portable conserving devise: including demand valve, portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240MO0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
0007Contractor owned ventilator rental, stationary, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240MO0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
0008Government owned ventilator set-up and monthly assessment (vent patients), includes monthly purchase of supplies and respiratory therapist visit, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240MO0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
0009Annual assessment by registered respiratory therapists/certified respiratory therapists (02 patients), each, per patient, per yearly visit by respiratory therapist for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240YR0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
0010H tank rental, each, rental per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240MO0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
0011H tank refill, each, per refill, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240EA0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
0012Compressors, stationary, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240MO0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
0013Fire safety valves, purchase as needed, each, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240EA0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
0014Rental of portable concentrator, portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240EA0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
0015Delivery of government owned property, each, per delivery, per patient for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240EA0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
0016Rental of ultra-fill system (brand name or equal) VA owned, stationary & portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240MO0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
0017One time delivery fee for any purchased items, each, per delivery, per patient for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240EA0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
0018Equipment check of ultra-filled system (brand name or equal) VA owed, each, per check of equipment, per patient for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240EA0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
0019Portable E and/or M6 tank refills, each, per refill, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240EA0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
0020Rental of oxygen concentrator ten (10) liter, stationary, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240MO0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
0021Emergency patient visits, each, per visit, per patient for patients of the TVHS, Mt Home and Memphis VAs.NoBase05/01/2304/30/240EA0QuantityPricedPercent0As requested by service.NONEAs requested for each patient's prescription and specific patient location. Applies to all the line items in this contract.Yes621610Q999
1001Oxygen concentrator five (5) liter, stationary, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250MO0QuantityPricedPercent0621610Q999
1002Rental of portable "E" system and/or M-6 system, portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250MO0QuantityPricedPercent0621610Q999
1003Rental of oxygen conserving device: including demand valve, portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250MO0QuantityPricedPercent0621610Q999
1004Rental of liquid oxygen system, stationary and portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250MO0QuantityPricedPercent0621610Q999
1005Liquid oxygen system refills, pound (lb.), per pound as needed for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250LB0QuantityPricedPercent0621610Q999
1006Rental of liquid oxygen portable conserving devise: including demand valve, portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250MO0QuantityPricedPercent0621610Q999
1007Contractor owned ventilator rental, stationary, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250MO0QuantityPricedPercent0621610Q999
1008Government owned ventilator set-up and monthly assessment (vent patients), includes monthly purchase of supplies and respiratory therapist visit, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250MO0QuantityPricedPercent0621610Q999
1009Annual assessment by registered respiratory therapists/certified respiratory therapists (02 patients), each, per patient, per yearly visit by respiratory therapist for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250YR0QuantityPricedPercent0621610Q999
1010H tank rental, each, rental per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250MO0QuantityPricedPercent0621610Q999
1011H tank refill, each, per refill, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250EA0QuantityPricedPercent0621610Q999
1012Compressors, stationary, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250MO0QuantityPricedPercent0621610Q999
1013Fire safety valves, purchase as needed, each, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250EA0QuantityPricedPercent0621610Q999
1014Rental of portable concentrator, portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250EA0QuantityPricedPercent0621610Q999
1015Delivery of government owned property, each, per delivery, per patient for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250EA0QuantityPricedPercent0621610Q999
1016Rental of ultra-fill system (brand name or equal) VA owned, stationary & portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250MO0QuantityPricedPercent0621610Q999
1017One time delivery fee for any purchased items, each, per delivery, per patient for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250EA0QuantityPricedPercent0621610Q999
1018Equipment check of ultra-filled system (brand name or equal) VA owed, each, per check of equipment, per patient for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250EA0QuantityPricedPercent0621610Q999
1019Portable E and/or M6 tank refills, each, per refill, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250EA0QuantityPricedPercent0621610Q999
1020Rental of oxygen concentrator ten (10) liter, stationary, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250MO0QuantityPricedPercent0621610Q999
1021Emergency patient visits, each, per visit, per patient for patients of the TVHS, Mt Home and Memphis VAs.NoOption 105/01/2404/30/250EA0QuantityPricedPercent0621610Q999
2001Oxygen concentrator five (5) liter, stationary, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260MO0QuantityPricedPercent0621610Q999
2002Rental of portable "E" system and/or M-6 system, portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260MO0QuantityPricedPercent0621610Q999
2003Rental of oxygen conserving device: including demand valve, portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260MO0QuantityPricedPercent0621610Q999
2004Rental of liquid oxygen system, stationary and portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260MO0QuantityPricedPercent0621610Q999
2005Liquid oxygen system refills, pound (lb.), per pound as needed for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260LB0QuantityPricedPercent0621610Q999
2006Rental of liquid oxygen portable conserving devise: including demand valve, portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260MO0QuantityPricedPercent0621610Q999
2007Contractor owned ventilator rental, stationary, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260MO0QuantityPricedPercent0621610Q999
2008Government owned ventilator set-up and monthly assessment (vent patients), includes monthly purchase of supplies and respiratory therapist visit, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260MO0QuantityPricedPercent0621610Q999
2009Annual assessment by registered respiratory therapists/certified respiratory therapists (02 patients), each, per patient, per yearly visit by respiratory therapist for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260YR0QuantityPricedPercent0621610Q999
2010H tank rental, each, rental per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260MO0QuantityPricedPercent0621610Q999
2011H tank refill, each, per refill, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260EA0QuantityPricedPercent0621610Q999
2012Compressors, stationary, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260MO0QuantityPricedPercent0621610Q999
2013Fire safety valves, purchase as needed, each, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260EA0QuantityPricedPercent0621610Q999
2014Rental of portable concentrator, portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260EA0QuantityPricedPercent0621610Q999
2015Delivery of government owned property, each, per delivery, per patient for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260EA0QuantityPricedPercent0621610Q999
2016Rental of ultra-fill system (brand name or equal) VA owned, stationary & portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260MO0QuantityPricedPercent0621610Q999
2017One time delivery fee for any purchased items, each, per delivery, per patient for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260EA0QuantityPricedPercent0621610Q999
2018Equipment check of ultra-filled system (brand name or equal) VA owed, each, per check of equipment, per patient for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260EA0QuantityPricedPercent0621610Q999
2019Portable E and/or M6 tank refills, each, per refill, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260EA0QuantityPricedPercent0621610Q999
2020Rental of oxygen concentrator ten (10) liter, stationary, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260MO0QuantityPricedPercent0621610Q999
2021Emergency patient visits, each, per visit, per patient for patients of the TVHS, Mt Home and Memphis VAs.NoOption 205/01/2504/30/260EA0QuantityPricedPercent0621610Q999
3001Oxygen concentrator five (5) liter, stationary, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270MO0QuantityPricedPercent0621610Q999
3002Rental of portable "E" system and/or M-6 system, portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270MO0QuantityPricedPercent0621610Q999
3003Rental of oxygen conserving device: including demand valve, portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270MO0QuantityPricedPercent0621610Q999
3004Rental of liquid oxygen system, stationary and portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270MO0QuantityPricedPercent0621610Q999
3005Liquid oxygen system refills, pound (lb.), per pound as needed for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270LB0QuantityPricedPercent0621610Q999
3006Rental of liquid oxygen portable conserving devise: including demand valve, portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270MO0QuantityPricedPercent0621610Q999
3007Contractor owned ventilator rental, stationary, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270MO0QuantityPricedPercent0621610Q999
3008Government owned ventilator set-up and monthly assessment (vent patients), includes monthly purchase of supplies and respiratory therapist visit, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270MO0QuantityPricedPercent0621610Q999
3009Annual assessment by registered respiratory therapists/certified respiratory therapists (02 patients), each, per patient, per yearly visit by respiratory therapist for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270YR0QuantityPricedPercent0621610Q999
3010H tank rental, each, rental per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270MO0QuantityPricedPercent0621610Q999
3011H tank refill, each, per refill, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270EA0QuantityPricedPercent0621610Q999
3012Compressors, stationary, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270MO0QuantityPricedPercent0621610Q999
3013Fire safety valves, purchase as needed, each, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270EA0QuantityPricedPercent0621610Q999
3014Rental of portable concentrator, portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270EA0QuantityPricedPercent0621610Q999
3015Delivery of government owned property, each, per delivery, per patient for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270EA0QuantityPricedPercent0621610Q999
3016Rental of ultra-fill system (brand name or equal) VA owned, stationary & portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270MO0QuantityPricedPercent0621610Q999
3017One time delivery fee for any purchased items, each, per delivery, per patient for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270EA0QuantityPricedPercent0621610Q999
3018Equipment check of ultra-filled system (brand name or equal) VA owed, each, per check of equipment, per patient for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270EA0QuantityPricedPercent0621610Q999
3019Portable E and/or M6 tank refills, each, per refill, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270EA0QuantityPricedPercent0621610Q999
3020Rental of oxygen concentrator ten (10) liter, stationary, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270MO0QuantityPricedPercent0621610Q999
3021Emergency patient visits, each, per visit, per patient for patients of the TVHS, Mt Home and Memphis VAs.NoOption 305/01/2604/30/270EA0QuantityPricedPercent0621610Q999
4001Oxygen concentrator five (5) liter, stationary, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280MO0QuantityPricedPercent0621610Q999
4002Rental of portable "E" system and/or M-6 system, portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280MO0QuantityPricedPercent0621610Q999
4003Rental of oxygen conserving device: including demand valve, portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280MO0QuantityPricedPercent0621610Q999
4004Rental of liquid oxygen system, stationary and portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280MO0QuantityPricedPercent0621610Q999
4005Liquid oxygen system refills, pound (lb.), per pound as needed for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280LB0QuantityPricedPercent0621610Q999
4006Rental of liquid oxygen portable conserving devise: including demand valve, portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280MO0QuantityPricedPercent0621610Q999
4007Contractor owned ventilator rental, stationary, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280MO0QuantityPricedPercent0621610Q999
4008Government owned ventilator set-up and monthly assessment (vent patients), includes monthly purchase of supplies and respiratory therapist visit, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280MO0QuantityPricedPercent0621610Q999
4009Annual assessment by registered respiratory therapists/certified respiratory therapists (02 patients), each, per patient, per yearly visit by respiratory therapist for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280YR0QuantityPricedPercent0621610Q999
4010H tank rental, each, rental per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280MO0QuantityPricedPercent0621610Q999
4011H tank refill, each, per refill, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280EA0QuantityPricedPercent0621610Q999
4012Compressors, stationary, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280MO0QuantityPricedPercent0621610Q999
4013Fire safety valves, purchase as needed, each, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280EA0QuantityPricedPercent0621610Q999
4014Rental of portable concentrator, portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280EA0QuantityPricedPercent0621610Q999
4015Delivery of government owned property, each, per delivery, per patient for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280EA0QuantityPricedPercent0621610Q999
4016Rental of ultra-fill system (brand name or equal) VA owned, stationary & portable, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280MO0QuantityPricedPercent0621610Q999
4017One time delivery fee for any purchased items, each, per delivery, per patient for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280EA0QuantityPricedPercent0621610Q999
4018Equipment check of ultra-filled system (brand name or equal) VA owed, each, per check of equipment, per patient for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280EA0QuantityPricedPercent0621610Q999
4019Portable E and/or M6 tank refills, each, per refill, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280EA0QuantityPricedPercent0621610Q999
4020Rental of oxygen concentrator ten (10) liter, stationary, each, per month, per unit for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280MO0QuantityPricedPercent0621610Q999
4021Emergency patient visits, each, per visit, per patient for patients of the TVHS, Mt Home and Memphis VAs.NoOption 405/01/2704/30/280EA0QuantityPricedPercent0621610Q999

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